DE102004017204A1 - Electronic device for detecting an emergency situation, computer system and practice computer system - Google Patents

Abstract

The invention relates to an electronic device with DOLLAR A - a sensor (104) for detecting an emergency situation, DOLLAR A - means (110) for geographical positioning, DOLLAR A - means (114) for storing a patient identifier for accessing a database of a computer system, DOLLAR A - means (112) for wireless transmission of the geographical position and the patient identifier to the computer system.

Description

The The invention relates to an electronic device, a computer system Practice computer system, a Telecommunication system, a computer program product and a method for sending an emergency call to an emergency call center.

Out In the prior art, various systems are automatic Sending an emergency call known. Partly with such systems too transferred the position of the patient with. Usually The position is determined by means of a global positioning system (GPS) receiver.

The transfer the geographical position data of the patient to an emergency call center allows the easy finding of the patient. However, the choice is a hospital for the subsequent treatment of the patient often more or less left to chance. This has the disadvantage that the patient, for example, not in the nearest Hospital is hospitalized or in a hospital, which no free capacities more available Has. Furthermore, it may happen that the patient is in a hospital is not delivered, which is not for the treatment of the patient required medical facilities and equipment.

Of the Invention is in contrast the task is based on improving this problem.

According to the invention is a electronic device to disposal provided, for example, firmly connected to a motor vehicle is or can be worn by a patient on the body. The electronic device has a sensor to detect an emergency situation. Here can it is an accident sensor, such as an acceleration sensor and / or rollover sensor. In this case, an emergency situation is detected when For example, a predetermined maximum acceleration value exceeded will or a rollover is shown.

alternative or additionally the sensor detects a medical condition of the patient, for example Pulse rate and blood pressure. When the detected by the sensor medical Data outside permissible tolerance ranges, then the corresponding emergency situation automatically detected.

In the electronic device is a patient identifier for accessing a database of a computer system saved. Upon detection of an emergency situation, the patient ID becomes from the non-volatile Memory read out. Further, the current position of the patient determined for example by means of a GPS receiver. The geographical position along with the patient ID is wirelessly transmitted to the computer system.

In The database of the computer system are patient data with the Patient ID as a key stored as well as hospital data, with the hospital data include at least the geographical positions of hospitals. Upon receipt of the emergency message from the electronic device is a Database access performed, around one of the hospitals select. After selecting one of the hospitals will an emergency call to an emergency center automatically sent, for example to request an ambulance or rescue helicopter. Of the Emergency call includes at least the geographical position of the patient as well as the selected one Hospital.

The Selection of one of the hospitals at least based on the geographical position of the patient, to one as possible to detect nearby hospital. Preferably go with it the hospital selection further criteria. In particular, be in the patient's hospital selection anamnesis data taken into account, the be matched with hospital profile data. The hospital profile data give in for it each of the hospitals a description of the existing in each hospital medical facilities and equipment as well as the treatment methods offered and surgical procedures.

With With the help of the anamnesis data, those hospitals are selected which have a hospital profile, which the treatment of the concerned Enable patients or appear optimal. Preferably also the current one goes Availability of the hospitals with in the hospital selection. To do this, the computer system receives from the hospitals for example, periodically or whenever the availability changes current availability data, the still free capacity of the hospitals show each.

To a preferred embodiment of Invention, the anamnesis data in the database as part of Patient data saved. Preferably, the anamnesis data however, delivered from an external data source. In this case include the patient data is a pointer to the external data source for Retrieving the anamnesis data when an emergency message is received.

Preferably, the data is source around the practice computer system of the treating physician of the patient. For example, the practice computer system is coupled with a web service with which the data is synchronized.

One Advantage is that the patient database every time the patient visits updated with his attending physician, so they always is up to date. Another advantage of using A web service is that of various medical practices Patient data can be "uploaded" to the web services database is especially advantageous when the patient at different medical practices is being treated simultaneously.

in the Other preferred embodiments the invention with reference to the drawings explained in more detail. It demonstrate:

1 a block diagram of an embodiment of a telecommunication system according to the invention,

2 a flowchart of an embodiment of a method according to the invention.

The 1 shows a telecommunication system 100 with several electronic devices 102 , of which for the sake of clarity only one in the 1 is shown. The electronic device 102 has a sensor 104 , At the sensor 104 it may be an accident sensor, for example, an acceleration sensor and / or a rollover sensor.

Alternatively or additionally, the sensor is 104 a sensor for detecting a condition of a patient, for example for measuring medical data or for measuring movement. For example, the sensor is used 104 for measuring the blood pressure and / or the pulse rate, or it is a motion sensor. An emergency situation is detected, for example, when an accident is sensed and / or when medical measurement data are determined which lie outside predetermined tolerance ranges and / or if no movement of the patient can be sensed for a longer time.

The electronic device 102 has a processor 106 to run a computer program 108 , Furthermore, the electronic device has 102 a GPS receiver 110 to determine the current position of the patient and a mobile phone module 112 which is designed, for example, according to the GSM standard or according to the UMTS standard. In the embodiment considered here, the mobile phone module 112 a SIM card 114 with a non-volatile memory.

In the SIM card 114 is in a storage area 116 a patient ID (ID) is stored, as well as in the memory area 118 for example, a telephone number, a uniform resource locator (URL), e-mail address, or the like of a computer system 120 , The electronic device 102 can over a network 122 with the computer system 120 communicate. At the network 122 For example, it is a telecommunications network operating according to the GSM or UMTS standard.

In the electronic device 102 it can be a device built into a motor vehicle. In another embodiment, the electronic device 102 portable and is, for example, worn by the patient constantly on his body, so from the sensor 104 constantly medical measurements can be recorded.

The computer system 120 has a database table 124 for storing patient data, a database table 126 for storing hospital data, an interface 128 for communication over the network 122 , a rule base 130 for medical expertise, an interface 132 for communication over the network 134 such as the Internet, and a processor 136 to run a program 138 ,

The database table 124 For example, it is used to store anamnesis data of a patient, a pointer to an external data source to query the anamnesis data, for example the URL of a web service 140 and the associated WSDL description or other agreed interface such as BDF, and contact information for notification of, for example, the physician and / or family members in the event of an emergency. This patient data is used with the patient ID as the primary key in the database table 124 saved.

The database table 126 includes an entry for each registered hospital. For example, for a particular hospital, the name of the hospital, its geographical location, and hospital profile data, ie, for example, the medical facilities and equipment available in the hospital, as well as treatment procedures are stored. Furthermore, the current availability of the hospital in question is also in the database table 126 saved. The corresponding availability data indicate, for example, the number of patients who can currently be additionally supplied by the hospital emergency department.

The in the 1 schematically represented registered hospitals 142 . 144 , ... each have corresponding computers 146 . 148 , ..., over the network 134 with the computer system 120 to be able to communicate. From the computers 146 . 148 , ... are each the current availability data to the computer system 120 transferred and in the database table 126 saved. The transmission of current availability data can be done periodically within predetermined time intervals or whenever the availability changes.

The web service 140 has a database 141 for storing anamnesis data of the registered patients each with the patient identifier as a key. The web service 140 is with different practice computer systems 150 . 151 , ... connected by medical practices or other medical institutions. The practice EDP systems each have a patient database 152 . 153 , ... and you can use filters 160 . 161 Anamnesis data relevant to a possible emergency treatment for uploading to the database 141 export. For example, the patient databases are synchronized at periodic intervals 152 . 153 , ... with the database 141 of the web service or if, for example, on the occasion of a doctor's visit, a new entry into one of the patient databases takes place. Database 141 the web service 140 is therefore from the individual patient databases 152 . 153 , ... fed. About the web service 140 can the computer system 120 for example, anamnesis data from the patient database 152 Interrogate. It is also particularly advantageous that the synchronization can be done in both directions: On the one hand for the transmission of new data from the practice EDP systems 150 . 151 to the web service to the database 141 and on the other hand from the database 141 to the practice EDP systems.

The latter is important if one of the patient's treating physicians collects data that may also be of interest to the patient's other treating physicians. As a result, eg duplicate examinations can be saved. Alternatively or additionally, each of the practice EDP systems for this purpose has read access rights to the database 141 ,

The computer system 120 can also, for example, over the network 122 and / or over the network 134 with an emergency center 154 communicate. The emergency call center 154 can from the computer system 120 receive an emergency call indicating the current location of the patient and the selected hospital. The emergency call center 154 then calls, for example, an ambulance 156 who picks up the patient from his current geographical location to take him to the selected hospital. In addition, the emergency call center 154 or the computer system 120 also inform the police and / or request recovery vehicles.

Is in operation of the telecommunication system 100 from the sensor 104 detects an emergency situation, the program receives 108 from the GPS receiver 110 the current geographical position and sends an electronic message via the mobile phone module 112 to the in the memory area 118 specified phone number / URL or the like of the computer system 120 , where the message 158 the one from the GPS receiver 110 determined geographical position and the patient ID from the memory area 116 includes.

The message 158 is from the interface 128 of the computer system 120 receive. The program 138 uses the patient ID as a key to query the database table 124 to read out the data stored for this key. This may be for example the anamnesis data. Alternatively, the history data is not in the database table 124 but are saved by accessing the web service 140 determined.

This is what the program is for 138 to the URL of the web service 140 an appropriate request, in the WSDL description of the web service 140 given format. The corresponding patient data are then removed from the patient database 152 read out and to the computer system 120 transfer. For example, here's one of the hospitals from the database table 126 selected.

Selection criteria can be: The spatial proximity to the current geographical position of the patient, as stated in the message 158 the availability and / or the hospital profile. To select one of the hospitals based on the hospital profile data and patient history data becomes the rule base 130 for medical expertise from the program 138 called.

The program 138 determines the hospitals of the database table on this basis 126 which are basically suitable for the treatment of the patient due to your hospital profile. From these hospitals in turn those are selected that are currently available. From the available hospitals, the closest to the patient is selected.

In the next step, a corresponding message is sent via the interface 132 to the computer system 120 selected hospital transferred to this in advance on the expected Notification of an emergency. As a result, the availability of the selected hospital will be reduced accordingly and the database table 126 updated. Furthermore, the family members and / or the attending physician are automatically called or electronic messages, eg e-mails, SMS or the like, are sent to these persons in order to inform them of the emergency and the selected hospital.

Furthermore, an emergency call to the emergency call center 154 which indicates the geographical position of the patient as well as the selected hospital. On this basis calls the emergency center 154 the ambulance 156 at.

The 2 shows a corresponding flow chart.

In the step 200 An emergency call is received by the electronic device, which contains the patient identifier (ID) and a current position indication. With the patient ID as the key is done in the step 202 a database access. In the database is the URL of a web service (see Web Service 140 of the 1 ). About the web service takes place in the step 204 the query of patient data.

In the step 206 a hospital is selected according to different criteria. Selection criteria may include, for example, proximity to the current location of the patient, availability of the hospital, and / or the hospital's ability to treat the patient, the latter criterion being assessed using a medical expertise rule base based on hospital profile data and patient history data ,

In the step 208 An ambulance is requested from an emergency call center, indicating the selected hospital. Further, in the step 210 For example, the attending physician and / or the patient's relatives and / or the selected hospital are informed of the emergency.

100

telecommunications system

102

electronic devices

104

sensor

106

processor

108

computer program

110

GPS receiver

112

Mobile phone module

114

SIM card

116

storage area

118

storage area

120

computer system

122

network

124

Database table

126

Database table

128

interface

130

rule base

132

interface

134

network

136

processor

138

program

140

Web Service

141

Database

142

hospital

144

hospital

146

computer

148

computer

150

Practice IT system

151

Practice IT system

152

Patient database

153

Patient database

154

PSAP

156

ambulance

158

message

160

filter

161

filter

Claims (19)

Electronic device with - a sensor ( 104 ) for the detection of an emergency situation, - means ( 110 ) for geographical positioning, - means ( 114 ) for storing a patient identifier for accessing a database of a computer system, 112 ) for wireless transmission of the geographic location and the patient identifier to the computer system. An electronic device according to claim 1, wherein the sensor is an acceleration and / or rollover sensor is. An electronic device according to claim 1 or 2, wherein the sensor is used to collect medical data. Electronic device according to claim 1, 2 or 3, the electronic device is designed for firm connection with a motor vehicle. Electronic device according to one of the preceding Claims, the electronic device at the body the patient is portable. Computer system with - a database ( 124 . 126 ) for storing patient data with a patient identifier as the key for database access and storage hospital data, where the hospital data includes at least the geographical positions of hospitals, an interface ( 128 . 132 ) for receiving an emergency message, wherein the emergency message includes a geographical position of a patient and a patient identifier of the patient, 136 . 138 ) to select one of the hospitals at least based on the geographical position of the patient and the geographical positions of the hospitals, 128 . 132 . 136 . 138 ) for sending an emergency call to an emergency call center, wherein the emergency call includes at least an indication of the geographical position of the patient and the geographical position of the selected hospital. The computer system of claim 6, wherein the patient data Include anamnesis data. The computer system of claim 6 or 7, wherein the patient data includes a pointer to an external data source ( 140 . 150 . 152 ) for retrieving anamnesis data of the patient. The computer system of claim 8, wherein the data source around a practice computer system of a treating physician of the patient. The computer system of claim 8, wherein the data source is a web service ( 140 ) with a database ( 141 ), whereby the web service synchronizes the data in the database ( 141 ) stored anamnesis data with practice EDP systems ( 150 . 151 , ...) is connectable. The computer system of claim 10, wherein the patient data includes a WSDL description of the web service, and resources ( 136 . 138 ) for querying the anamnesis data from the web services in a format corresponding to the WSDL description. A computer system according to any one of the preceding claims 6 to 11, wherein the hospital data includes hospital profile data for indicating available treatment methods and / or devices, and wherein the means for selecting one of the hospitals is to access a rule base ( 130 ) medical expertise to take into account in the selection of the hospital, the anamnesis data and the hospital profile data. Computer system according to one of the preceding claims 6 to 13, where the hospital data includes hospital availability data and the means of selecting one of the hospitals for consideration the hospital availability data are trained in the selection. Computer system according to claim 13, with means ( 132 ) for receiving hospital availability data from hospital computer systems. Practice EDP system with a patient database ( 152 ) and a web service ( 140 ) to access the patient database. Telecommunication system with at least one electronic Device after one of the claims 1 to 5, a computer system according to one of claims 6 to 14 and at least one practice EDP system according to claim 15. Computer program product for controlling an electronic device, with program instructions to perform the following steps: - Detection an emergency situation by entering sensor data, - Input geographic location data, - Access to a non-volatile Memory for reading a patient ID for access to a database a computer system, - Output the patient ID and position data for wireless transmission to the computer system. Computer program product with program instructions to carry out the following steps: - Input an emergency message, wherein the emergency message is geographic location data a patient and a patient ID of the patient, - access to a database with the patient ID as the key to Retrieval of patient data and retrieval of hospital data, whereby the hospital data at least the geographical positions of hospitals include - Selection one of the hospitals, at least based on the positional data of the patient and the geographical positions of hospitals, - Sending an emergency call an emergency call center, wherein the emergency call at least an indication of geographical position data of the patient and the geographical location Position of the selected Hospital has. A method of sending an emergency call to an emergency center, comprising the steps of: receiving an emergency message, wherein the emergency message includes a patient's geographical location and a patient's identifier, accessing a patient identifier database as a key to retrieve patient data and hospital data, wherein the hospital data includes at least the geographical positions of hospitals, - determining one of the hospitals at least based on the geographical position of the patient and the geographical positions of the hospital sending an emergency call to an emergency call center, the emergency call containing at least the geographical position of the patient and an indication of the selected hospital.